How much rates vary
Facilitymedian $537 · 10th to 90th $45 to $724Professionalmedian $407 · 10th to 90th $45 to $537
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $44.67 Median $537.03 Typical High $724.44 | Facility | None | $44.67 | $537.03 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $44.67 Typical High $630.96 | Professional | None | $43.65 | $44.67 | $630.96 |
BCBS Setting Professional Modifier None Typical Low $407.38 Median $457.09 Typical High $537.03 | Professional | None | $407.38 | $457.09 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $478.63 Typical High $660.69 | Professional | None | $323.59 | $478.63 | $660.69 |
Hally Health Setting Professional Modifier None Typical Low $229.09 Median $478.63 Typical High $645.65 | Professional | None | $229.09 | $478.63 | $645.65 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Hally Health Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $407.38 | Professional | None | $346.74 | $346.74 | $407.38 |
United Setting Professional Modifier None Typical Low $42.66 Median $54.95 Typical High $77.62 | Professional | None | $42.66 | $54.95 | $77.62 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | QK · Directing 2–4 cases | $389.05 | $389.05 | $389.05 |